CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Mary Medical Center Inc

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 1.9× the $29 Medicare rate · typically $31–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $2 over the fair price · 1.9× Medicare
Medicare pays $29 Fair price $54 This hospital $56 Cash price $80 Hospital's list price $133

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $56

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $54 (about 1.9× the $29 Medicare rate). St Mary Medical Center Inc charges insurers about $56, or about $80 in cash — about the fair price. Located in Hobart, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $246 - $287 847%
Blue Cross Blue Shieldmajor $38 - $186 131%
Aetnamajor $68 - $71 234%
Cignamajor $70 - $102 241%
Humanamajor $100 344%
Ambetter (Centene) $56 193%
CareSource $186 640%
+ 17 smaller / regional plans $36 - $287
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1500 S Lake Park Ave, Hobart, IN 46342
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals